A Study on the Gap between Surgical Patients' Requirement and Anesthesiologists' Provision of Anesthetic Information - Using a Medical Center in North Taiwan As an Example
Date Issued
2004
Date
2004
Author(s)
Dai, Wen-Jan
DOI
zh-TW
Abstract
The purpose of this study is first to understand anesthetic information requirements of surgical patients and provided information by the anesthesiologists, second to understand the gap between the expectations and perceived anesthetic information service, and third to explore the related factors which affect the surgical patients’ satisfaction about the anesthetic information service.
From 23rd March to 21st May 2004, a cross sectional survey was carried out in a medical center in Taipei city by enrolling a stratified sampling of 146 elective surgical patients and their paired anesthesiologist. Two questionnaires were developed, one for face-to-face interviews with surgical patients and the other for the anesthesiologists to fill in. One hundred and thirty-six valid patient questionnaires and 14 anesthesiologist questionnaires were obtained within the collection period. The statistic software SPSS (Version 11.5) was applied for the data analysis. Major approaches include frequency distribution, percentage, Chi-square test, paired t-test, factor analysis, Kruskal-Wallis statistic, Pearson product-moment correlation coefficient and logistic regression with the following main results:
（1）The characteristics of anesthesiologists (e.g.
gender, age, practice years, work loading) affect
their point of view on providing anesthetic
information.
（2）The characteristics of surgical patients (e.g.
gender, marital status, anesthetic experience and
operation）make no significant difference in their
attitude toward anesthetic information requirement, as
well as marital status, income, operation and ASA
status makes no significant difference in the content
of anesthetic information requirement.
（3）The gap of anesthetic information service between the
surgical patients and anesthesiologists shown as the
following:
i.A significant difference exists in the attitude toward
requirement and provision of anesthetic information
between surgical patients and anesthesiologists. There
are significant difference regarding the content of
requirement and provision of anesthetic information in
anesthesia type, the anesthetic process, postoperative
pain control and post-anesthetic complications.
ii.All perceived scores of surgical patients are lower than
expectation score.
iii.Between anesthesiologists’ provision and surgical
patients’ expectations, no significant difference can
be found in providing the anesthetic information
which meet patients’ needs , providing the information
via understandable words , encouraging patients to
question and participate , answering patient’s
questions promptly, giving attention to patient’s
personal questions. All other items show a significant
difference in the statistical analysis.
iv.No significant difference between anesthesiologists’
provision and surgical patients’ actual perception can
be found in five items, such as the anesthesiologist is
neatly-dressed, the anesthesiologist’s attitude is kind
and friendly, the anesthesiologist listens to my
question patiently, the anesthesiologist encourages me
to seek a second opinion and the anesthesiologist
clarifies my misunderstanding about anesthesia, all the
other items showing a significant difference.
（4）There is no significant difference between surgical
patients and anesthesiologists’ satisfaction about
the anesthetic information service.
（5）A significant difference can be found between
patients’ experience of anesthetic complications and
the treatment anesthesiologists actually give, e.g.
sore throat, weakness, awareness during general
anesthesia, pain sensation in injecting the
intravenous anesthetics and dysuria .
（6） There are several factors which affect surgical
patients’ satisfaction about the anesthetic
information service, such as the understanding of the
importance on anesthetic information, the location to
meet the anesthesiologist, comobidity, the content
discussion about the anesthesia with the
anesthesiologist, the score of gap between the
expectations and perceived anesthetic information
service in surgical patients, surgery specialty.
According to the statistical analysis results of this study, hospitals are advised to pay more attention and consideration to the gap between the expectations and perceived anesthetic information service, as well as factors that affect the surgical patients’ satisfaction. Besides, a long-term follow up is needed in order to further improve the quality of the anesthetic information service.
Subjects
手術病患滿意度
麻醉醫師
anesthesiologist
anesthetic information
Type
thesis
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